News & Resources

The Hidden Toll: Retained Swab After Childbirth Laura Fleming’s Story, and What Must Change

September 11, 2025

2 mins

The Hidden Toll: Retained Swab After Childbirth Laura Fleming’s Story, and What Must Change

Childbirth should be joyous. For Laura Fleming, it became the start of an avoidable nightmare. In this conversation, Laura describes…

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Preventing Retained Surgical Swabs: A Surgeon’s Perspective

September 1, 2025

2 mins

Preventing Retained Surgical Swabs: A Surgeon’s Perspective

Retained surgical swabs remain a serious risk despite checklists and protocols. In this interview, a paediatric surgeon shares why these…

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Never Means Never: Why Retained Swabs Must Be Eliminated from Maternity Care

August 26, 2025

3 mins

Never Means Never: Why Retained Swabs Must Be Eliminated from Maternity Care

When we talk about Never Events in healthcare, the word “never” is not a suggestion. It should be a promise.…

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Second Victims in the Operating Theatre: What the New 2025 Data Means for Retained-Swab Prevention

August 12, 2025

3 mins

Second Victims in the Operating Theatre: What the New 2025 Data Means for Retained-Swab Prevention

Second victims in the operating theatre are often overlooked in patient safety discussions. When retained surgical swabs occur, the impact…

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Explore the Research Behind iCount.

iCount is backed by robust research and ongoing research. Explore our literature references, whitepapers, publications, case studies, and testimonials to learn more.

A man in a white lab coat examines a sample through a microscope in a laboratory setting.

iCount Resources

The Causes & Hidden Cost of Never Events

These references explore the consequences, policy implications, risk factors, and financial/legal burdens associated with retained surgical items (RSIs).

HSIB, CQC, NHS Improvement, Joint Commission, NHS NPSA, Australia & NZ reports
NHS Long Term Plan & US Navy Navmed Policy

Gawande et al., Birolini et al., Zhan & Miller – major prevalence and outcome studies

Gawande, Steelman, AHRQ – reports showing high costs and added hospital stays

Bailey, Kaiser, Gualniera – legal and malpractice case reviews

Dozens of country-specific studies: US, UK, India, France, Kenya, Brazil, etc.

Wan et al., Sirihorachai et al., Tabibzadeh et al., Anderson – systematic reviews and safety studies

Edel, Greenberg, Christian – documenting risks in manual count procedures

Joint Commission & cost analyses comparing RFID/barcoded swabs with iCount (£9/patient)

Regenbogen et al. – cost model showing economic value of iCount-like tech

Mathew & Imoto – showing limits of imaging to detect RSIs

The iCount Evidence Base

These references support interventions, technology innovations, and human-factors-based solutions to prevent RSIs underpinning the rationale for adopting tools like iCount.

Key Value Proposition

 

iCount is a simple, human-factors-engineered system that acts as a physical checklist to support accurate swab counts to reduce reliance on memory in high-pressure clinical settings .

Our technology is:

  • Clinician centred and easy to adopt
  • Designed for global health systems, adaptable to your protocols.

iCount supports safer surgeries, for every team, in every theatre, maternity and procedural setting.

It was designed to support surgical teams ensuring swabs are counted accurately and efficiently. With an intuitive docking mechanism with optional computer vision, AI enabled verification, iCount helps reduce manual errors in swab tracking, supporting efficiency in high-pressure environments without disrupting workflow

Surgical team and sterile swabs used for swab counting in operating and maternity theatres.